| Samantha Walsh, PAC | |
|
112 Sparks Dr, Forest City, NC 28043-9021 | |
| (704) 675-7279 | |
| (704) 675-7279 |
| Full Name | Samantha Walsh |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 112 Sparks Dr, Forest City, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023516754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4500 (South Carolina) | Secondary |
| 363A00000X | Physician Assistant | 0010-07920 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Unity | 6406014919 | 61 |
| Wound Care Specialists | 6608959549 | 5 |
| Entity Name | Henderson County Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447444559 PECOS PAC ID: 8123938115 Enrollment ID: O20040611001396 |
| Entity Name | Wound Care Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538366372 PECOS PAC ID: 6608959549 Enrollment ID: O20080214000581 |
| Entity Name | Physicians Unity |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679878268 PECOS PAC ID: 6406014919 Enrollment ID: O20180122001968 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Walsh, PAC 112 Sparks Dr, Forest City, NC 28043-9021 Ph: (828) 351-6000 | Samantha Walsh, PAC 112 Sparks Dr, Forest City, NC 28043-9021 Ph: (704) 675-7279 |
Mr. Gregory Wayne Goodwin, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1269 Us Highway 221a, Forest City, NC 28043 Phone: 828-657-5371 Fax: 828-657-9190 |
Mr. Phillip R. Talbert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 651 Withrow Rd, Forest City, NC 28043 Phone: 828-288-1204 Fax: 828-288-1205 |
Paul Layman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 181 Daniel Rd, Forest City, NC 28043 Phone: 828-286-9036 |
Paul R. Granzow, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 181 Daniel Rd, Forest City, NC 28043 Phone: 828-286-9036 Fax: 828-286-1079 |
Mrs. Grace K Ayala, PA-C, MSPH Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 112 Sparks Dr, Forest City, NC 28043 Phone: 704-833-8442 |
Michael T Serle, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 112 Sparks Dr, Forest City, NC 28043 Phone: 828-351-6000 Fax: 828-287-7436 |
Virginia Gilliam, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 181 Daniel Rd, Ste A, Forest City, NC 28043 Phone: 828-287-9504 |